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<br />,_ ..,:. <br />112 Attachment <br />Permittee Name: NiPlson_ Tnr_ <br />Operation Name: CRAIG GRAVEL PIT <br />Permit No: 77_3n <br />Anniversary Date: June 17 <br />Operator: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) ~~~ ~ 8 V ~® <br />I~ Check or money order payable to Colorado Mined Land ~ ~~ 1 $ 1984 <br />Reclamation Division far annual fees due PAINED LANp RECLAMATION DIVISION <br />Colo: Dept. o(Natural Resources <br />I_I Artnual Report <br /> <br />I_I Map <br />Remarks: ANNUAT. REPORT & MAP Tn FOT.T.[1W TTNT)F.R SF.PARATF. C(7VRR <br />~G~~~ ~ ;, <br />.,PLEASE MAIL A RECEIPT. ~~(~~~'P.~;, <br />r^ . <br />-~' :. <br />u~ <br />u <br />Signature ~ Douglas L. ~6nger <br />Engineering Geologist <br />(Rev. 5/84) <br />Doc. No. 1805 <br />cc: Craig Pit, Engr.(2) <br />q,,6/18~~ ~y <br />-Ire, ~~' 0 <br />!- ' ~~ <br />~® <br />~~~ - .. '. <br />